Socioeconomic inequalities in waiting times for breast cancer surgery

B-Tier
Journal: Health Economics
Year: 2025
Volume: 34
Issue: 2
Pages: 203-224

Authors (5)

Maria Ana Matias (not in RePEc) Rita Santos (University of York) Luigi Siciliani (University of York) Peter Sivey (not in RePEc) Andrew Proctor (not in RePEc)

Score contribution per author:

0.402 = (α=2.01 / 5 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Prompt access to cancer care is a policy priority in several OECD countries, because delayed access can exacerbate deleterious health outcomes. Access to care based on need remains a key pillar of publicly‐funded health systems. This study tests for the presence of inequalities in waiting times by socioeconomic status for patients receiving breast cancer surgery (mastectomy or breast conserving surgery) in England using the Hospital Episode Statistics. We investigate separately the pre‐COVID‐19 period (April 2015–January 2020), and the COVID‐19 period (February 2020–March 2022). We use linear regression models to study the association between waiting times and income deprivation measured at the patient's area of residence. We control for demographic factors, type and number of comorbidities, past emergency admissions and Healthcare Resource Groups, and supply‐level factors through hospital fixed effects. In the pre‐COVID‐19 period, we do not find statistically significant associations between income deprivation in the patient's area of residence and waiting times for surgery. In the COVID‐19 period, we find that patients living in the most deprived areas have longer waiting times by 0.7 days (given a mean waiting time of 20.6 days).

Technical Details

RePEc Handle
repec:wly:hlthec:v:34:y:2025:i:2:p:203-224
Journal Field
Health
Author Count
5
Added to Database
2026-01-29